Whole-Health interventions for the Multi-Generational Practice Raul De villegas-decker, Psy.D. Founder RDV Executive Consulting group, LLC

Disclosures Dr. De Villegas has the following disclosures to report: Managing Founder and Principal Consultant for RDV Executive Consulting Group, LLC Director, Integrated Behavioral Health Services at Western Colorado Pediatric Associates a Division of Primary Care Partners Clinician at Behavioral Health & Wellness

objectives Increase family engagement 2. Assess and address the social determinants of health needs of the family 3. Support the medical team

Increase family engagement A pediatric practice, more so than a family practice has multiple ”patients” during an office visit. Social Determinants of Health Extended Family/Supports Caregivers Medical Team Patient

Assess and address social determinants of health Team based approach Front line staff Nurses Care coordinators Integrated behavioral health clinicians Medical providers Screening tools* Patient centered care A pediatric patient’s presentation must be considered within the context of his environment

Extended family/support Who, what, where, why? These are the individuals that support the adults in the child’s life. Nursing, care coordinators and front office staff are instrumental in bridging the information gap.

caregivers Caregivers are the most important members in the room when addressing the patient needs. Caregivers, whether parents, grandparents, uncles, aunts, etc., are significant players in the patient’s life. Developing meaningful relationships is crucial but this does not mean that it is unidirectional. Screening tools can help, however, connecting with the caregivers via nursing and care coordinators is ideal.

caregivers What are the needs of caregivers? Interventions Reliable information about their child’s whole health Collaboration that helps them feel empowered ”Good enough” Opportunities that help them not judge them (Walk alongside) Interventions Western Colorado Pediatric Associates - ”On Second Thought” Parent Resource Group

medical team Awareness that medical issues are interconnected with behavioral health Behavioral health does not equal pathology Behavioral health needs does not mean therapy Social determinants of health does not equal behavioral health and/or therapy. Help the medical team resist the ”righting reflex” Assist the medical team manage the distress associated with multi-generational issues

Questions